Pacific Coast Sports Medicine is a
Orthopaedic Surgery based in Los Angeles, California. Pacific Coast Sports Medicine is licensed to practice in * (Not Available) (license number ) and their current practice location is
11600 Wilshire Blvd, Suite 522, Los Angeles, California. It can be reached at their office (for appointments etc.) via phone at
(310) 477-7276.
NPI number for Pacific Coast Sports Medicine is 1083985451 and their current mailing address is 11600 Wilshire Blvd, Suite 522, Los Angeles, California. Pacific Coast Sports Medicine
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1083985451.
Healthcare Provider's Profile
| Full Name | Pacific Coast Sports Medicine |
|---|
| Type | Facility |
|---|
| Speciality | Orthopaedic Surgery |
|---|
| Location | 11600 Wilshire Blvd, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083985451
- Provider Enumeration Date: 01/18/2012
- Last Update Date: 01/18/2012
Medical Identifiers
Medical identifiers for Pacific Coast Sports Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083985451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pacific Coast Sports Medicine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pacific Coast Sports Medicine
11600 Wilshire Blvd, Suite 522,
Los Angeles, CA 90025-5781
Ph: (310) 477-7276 | Pacific Coast Sports Medicine
11600 Wilshire Blvd, Suite 522,
Los Angeles, CA 90025-5781
Ph: (310) 477-7276 |
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